95-103144 _ 7 C".----"..--,---•._____ _ _
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CITY OF FEDERAL. WAYPERMIT NO: Bl.D95-0931.
33530 Ei rst Way South .
141 EC flet H I COI 1, PETAH 1 r ISSUED: 11/16/95
Federal Way, WA 98003 Building Inspection Requests 664 -4140 BY: FC
661-4000 EXPIRES: 05/14/96
ADDRESS: 2441 BIRCH ST NE
NO. : 102103-9009
PROJECT DESCRIPTION:Adding furnace, ductwork, and fans.
,... (Hippo-0R ..... -........,..........., .... .-.1
1. HRER ..".........„...",....................... i KROUPA
oNsmucTIoN
MIKE PRATO
2441 BIRCH NE
621 S 30210 ST
FEDERAL WAY WA 98003
FEDERAL WAY WA 98003
1
921-5786 1
0„,:m!4,:= ,,.::
""""t'''°'''' ''7;;;-&1116:;7i7;("77;41os ;Sr ii; if rws srpositx SALES TAX FOR PROJECTS WITHIN INE CITY Of F9ERAL,!!!..,!!!.11.,1 :.,.,,,,,,.....,.... ..„,.
FOR TYPES.:011 ? FANS._ ...:- 3 0111-PS/C , , FEES:
GAS PIPING.: 0 ft ROOD • 1 , m,, p _ „. " ' WINCE.- S 20.00
0 '', HP ..: U -144 .i,,, * : --_, ' ' ' p. friiii1141 L E FEES.* $ 36.50
FUR110.00t..: 1 °CI '1°4.••-•: 1 3 ''' RP '..t. 1,1,,,,,,,, :t „ - ,,.. .„., A -40J., -!'.4.P'' ' ' .- ,
, ., ANI
GAS Hill • 0 !Kr"lii""-::::1; '8 l'i 111) 41'`.'''. ---Alill,Mro! '':AAVSTF..444%.44i-Y -..--. -
COHV BURNER: 0 . ,,,,•;,,,„,,o av 0 HP...:`. '#' ' '2'4. '' ' -..,:
BBQ • 0pi 1141 c+ WAISPITt-
,),.` or,
?--,,
1 GAS DRYER..: 0 AIR 1 ) S 1 , Fat
I RANGE • 0 (:10, 1 . 401 GROUND: 0
I GAS LOGS...: 0 ) 10,1T , F, lN/000BNDERGROOND.: 0
TOTAL FEES $ 56.50
I
ll'oeNs—th:Ze'te:'Ps:rpPlY"s;'s.-t'e"p-lc:ni'ai=n741:-r;:sU're-RedU'c'ji"o'n'4D:vice or Check valve? 0 Yes 0 No (If 'Yes" then water expansion tank is required on Hot Water Tank)
1 Inspection Record Water line OK Mechanical Inspection Notes:
I
GAS PIPING OK . _ Date
. . 4
PERRI'S EXPIRE 1811 DAYS AFTER ISSUANCE It NO WORK IS StARIED. RESIDENIIAE AND GIIAIW PERMITS EXPIRE ONE YEAR AIIER OMIE ut ISSUANCE.
I CERTIFY IRE ENEORNAIION IONItIND BY ME IS IRUT. AO CORRECT TO TWE 11151 Of MY KNOWLEDGE AND IRE OPERABLE ITY Of EINERAI WAY 111001REMINIS Mitt 14 MET.
OWNER OP AGENT -7/Tait/illt,(441/14450A DAIL fi /6/q5
FIELD COPY
CITY OF FEDERAL WAY NO: BLD95-0931
33530 First Way South I�'"' E;;� L y#1iit'lle y 6..I. K:::::itr1 1,... it.'"*f.::: ril 11.1,. -I ISSUED: 11/16/95
Feel ra1 Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 05/14/96
ADDRESS: 2441 BIRCH ST NE
NO. : 102103-9009
PROJECT DESCRIPTION:Adding furnace, ductwork, and fans.
f. OWNER -- ---:s . .._.._-T.. CONTRACTOR -- --- --- -:... _-- -_:. LENDER - ----- -
MIKE PRATO 1 KROUPA CONSTRUCTION J
2441 BIRCH NE 621 S 302ND ST
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003
927-5786 1 I
1 KROUPC*125LF 4
-• - _. __
#_; CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.25 xii - -
- ...----T--------------___
FUEL TYPES.:OIL ? FANS • 3 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 0 ft HOOD • 1 0-3 HP • 0 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 1 DUCT WORK • 1 3-15 HP • 0 MEC APPLIANCE FEES.* $ 36.50
GAS NWT • 0 WOOD STOVES...: 0 15-30 HP • 0
CONV BURNER: 0 FURN>100K • 0 30-50 HP 0
BBQ • 0 MISC • 0 5+ HP • 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS 1
RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0 R
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
I TOTAL FEES $ 56.50
Does the water supply system contain a Pressure Reduction Device or Check valve? () Yes () No (If "Yes" then water expansion tank is required on Hot Water Tank)
Inspection Record Water Line OK Mechanical Inspection Notes:
GAS PIPING OK _. Date By
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE ITY OF FEDERAL MAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT ‘70 € , _ DATE /,, /f? 11`
FILE COPY
City of Federal Way
CITY OF At' "'''"' 33530 First Way South
_ • _ F^ Federal Way, WA 98003
WFr)'
I (206)661 4000f
APPLICATION FOR MECHANICAL PERMIT
PARCEL if• Single Family,n Multi-Family ❑ Commercial o
SITE LOCATION: /910 ? y °lj 2c
Tenant/Owner: LAu� V2-/T& Phone: ?27- X78/
Address/City/State/Zip: ��/ 13iec-X �� ��Dr�fx (�f/d , ' ; 9'847z
Tien 1 1T Fuienf4c.6 3000. --
APPLICANT:of work: Project Valuation: $
APPLICANT: //L //1
Name: // T46- / /l-ne1G—
Address/City/St/Zip: /32/ E. - et 5T T/&MVS UM ` 99112/
Contact Person: t5ii--1-. 61it'2,4/ti5 Phone: 922-221/ Fax: 553--(1792
MECHANICAL CONTRACTOR:
Company Name: ��/ /��� l(di-/ /`' u'
Address/City/St/Zip: 321 — r 2 3r, TACOMA)OMA) W A 7 8y2J
Contact Person: 1 LL 'WM/it.)-> Phone: 922-.22/1 Fax: 363---c/71-12-
State
S37yZState L & I Contractor Registration #: /- ,el T4 •/ i3661-/ Exp. Date: .6 3/9�
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/other) C i t Gas Dryer Air Handling < = 10,000cfm Fuel Tanks:
Length of gas pipingRange Air Handling > = 10,000cfm Above Ground
Furn <100K BTU's f'-:-,!re,t Gas Log Unit Heater Underground
Furn >100K BTU's Fans ? Boiler BTU/H Miscellaneous
Gas Hwt Hood Boiler BTU/H Other
Cony Burner Duct Work A/C TONS Other
BBQ's Wood Stoves A/C TONS '.''.'1`vtal
DISCLAIMER: I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge and further that I am authorized by the owner of the above
premises to perform the work for which permit application is made. I further agree to save harmless the City of Federal Way as to any claim(including coats,expenses and attorneys'fees
incurred in investigation and defense of such claim),which may be made by any person,including the undersigned,and filed against the City of Federay Way but only where such claim arises
out of the reliance of the City,including its officers and employees,upon the accuracy of the information supplied to the City as a part of this application.
Owner/Agent: Date: